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Posttraumatic infrarenal abdominal aortic pseudoaneurysm treated with bifurcated endovascular graft stent.

Oner E, Erkanli K, Akturk IF, Aydin U, Akinci O, Yildirim A - Postepy Kardiol Interwencyjnej (2015)

Bottom Line: Posttraumatic infrarenal aortic pseudoaneurysms are rare and potentially lethal lesions.We report the case of a 32-year-old man presenting with infrarenal aortic pseudoaneurysm eight months after being stabbed in the back and right flank.Imaging one month after the procedure revealed no endoleak and slight shrinkage of the pseudoaneurysm.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Department, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

ABSTRACT
Posttraumatic infrarenal aortic pseudoaneurysms are rare and potentially lethal lesions. We report the case of a 32-year-old man presenting with infrarenal aortic pseudoaneurysm eight months after being stabbed in the back and right flank. His pseudoaneurysm was close to the iliac bifurcation, so we decided to deploy a bifurcated endovascular graft stent, the TriVascular Ovation endovascular stent. Imaging one month after the procedure revealed no endoleak and slight shrinkage of the pseudoaneurysm.

No MeSH data available.


Related in: MedlinePlus

Stabbing wounds at patient's back and right flank
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Figure 0001: Stabbing wounds at patient's back and right flank

Mentions: A 32-year-old man was admitted to our emergency department with severe abdominal pain. He had a history of stabbing in several regions of his body (left shoulder, under the left nipple, the right flank and back) sustained in a fight 8 months previously. He was admitted to a hospital at the time, but the medical records from that hospitalization could not be obtained. However, as learned from the patient, after 1 day of observation in the emergency department, his wounds were considered superficial and he was discharged from the hospital. One month after that event, the patient started to complain of abdominal pain, and he was admitted to the hospital several times for this complaint. He was admitted to our hospital after the abdominal pain increased over the course of 3 days. On physical examination the patient's heart rate was 82 beat/min, his arterial blood pressure was 130/70 mm Hg, and his hemoglobin was 14 g/dl. The knife stab wounds could be seen (Figure 1). Computed tomography angiography (CTA) revealed an abdominal aortic pseudoaneurysm, 92 × 91 × 26 mm in size, arising from the posterior abdominal aorta 50 mm below the left renal artery, with a defect size of 23 × 16 mm (Figure 2). The iliac bifurcation was 17 mm below the aortic injury. Erosion of L3 due to compression of the aortic pseudoaneurysm was also seen (Figure 2). The neck of the pseudoaneurysm was close to the iliac bifurcation, so we decided to implant an endovascular stent. On the same day that the patient was admitted to our hospital, we deployed a 26-mm aortic body ovation stent (TriVascular, Inc., Santa Rosa, CA) under the left renal artery, with a 12 × 100-mm iliac limb deployed to the right iliac artery and a 14 × 180-mm iliac limb deployed to the left common iliac artery. The patient was discharged on the fifth day after the procedure. Computed tomography angiography performed one month after the procedure revealed no endoleak and slight shrinkage of the pseudoaneurysm (Figure 3).


Posttraumatic infrarenal abdominal aortic pseudoaneurysm treated with bifurcated endovascular graft stent.

Oner E, Erkanli K, Akturk IF, Aydin U, Akinci O, Yildirim A - Postepy Kardiol Interwencyjnej (2015)

Stabbing wounds at patient's back and right flank
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4495132&req=5

Figure 0001: Stabbing wounds at patient's back and right flank
Mentions: A 32-year-old man was admitted to our emergency department with severe abdominal pain. He had a history of stabbing in several regions of his body (left shoulder, under the left nipple, the right flank and back) sustained in a fight 8 months previously. He was admitted to a hospital at the time, but the medical records from that hospitalization could not be obtained. However, as learned from the patient, after 1 day of observation in the emergency department, his wounds were considered superficial and he was discharged from the hospital. One month after that event, the patient started to complain of abdominal pain, and he was admitted to the hospital several times for this complaint. He was admitted to our hospital after the abdominal pain increased over the course of 3 days. On physical examination the patient's heart rate was 82 beat/min, his arterial blood pressure was 130/70 mm Hg, and his hemoglobin was 14 g/dl. The knife stab wounds could be seen (Figure 1). Computed tomography angiography (CTA) revealed an abdominal aortic pseudoaneurysm, 92 × 91 × 26 mm in size, arising from the posterior abdominal aorta 50 mm below the left renal artery, with a defect size of 23 × 16 mm (Figure 2). The iliac bifurcation was 17 mm below the aortic injury. Erosion of L3 due to compression of the aortic pseudoaneurysm was also seen (Figure 2). The neck of the pseudoaneurysm was close to the iliac bifurcation, so we decided to implant an endovascular stent. On the same day that the patient was admitted to our hospital, we deployed a 26-mm aortic body ovation stent (TriVascular, Inc., Santa Rosa, CA) under the left renal artery, with a 12 × 100-mm iliac limb deployed to the right iliac artery and a 14 × 180-mm iliac limb deployed to the left common iliac artery. The patient was discharged on the fifth day after the procedure. Computed tomography angiography performed one month after the procedure revealed no endoleak and slight shrinkage of the pseudoaneurysm (Figure 3).

Bottom Line: Posttraumatic infrarenal aortic pseudoaneurysms are rare and potentially lethal lesions.We report the case of a 32-year-old man presenting with infrarenal aortic pseudoaneurysm eight months after being stabbed in the back and right flank.Imaging one month after the procedure revealed no endoleak and slight shrinkage of the pseudoaneurysm.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Department, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

ABSTRACT
Posttraumatic infrarenal aortic pseudoaneurysms are rare and potentially lethal lesions. We report the case of a 32-year-old man presenting with infrarenal aortic pseudoaneurysm eight months after being stabbed in the back and right flank. His pseudoaneurysm was close to the iliac bifurcation, so we decided to deploy a bifurcated endovascular graft stent, the TriVascular Ovation endovascular stent. Imaging one month after the procedure revealed no endoleak and slight shrinkage of the pseudoaneurysm.

No MeSH data available.


Related in: MedlinePlus